Eye Discomfort: Causes of Swelling and Redness in the Eye - Ophthalmology

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Hello, doctor: Recently, I've been feeling a bit of swelling in my left eye, and there are blood vessels visible in the white part of my eye.
What could be the issue? Please provide an answer.
Thank you!

Ayou, 30~39 year old female. Ask Date: 2004/10/08

Dr. Chen Xuan reply Ophthalmology


Hello~ Do you wear contact lenses? Do you spend long periods (over 2 hours) on the computer every day? Do you experience blurred vision? Do you have a history of allergies? In clinical practice, symptoms such as eye discomfort, pain, and redness must be differentiated, as there are many conditions to consider, including allergic conjunctivitis, dry eye syndrome, glaucoma, iritis, and episcleritis, among others.
Please visit an ophthalmology clinic for a detailed examination to make an accurate diagnosis.
Sincerely, Dr.
Chen Hsuan.

Reply Date: 2004/10/08

More Info


Eye discomfort, particularly symptoms such as swelling and redness, can arise from a variety of underlying causes. In your case, the sensation of pressure in your left eye, along with the presence of blood vessels in the sclera (the white part of the eye), may indicate several potential conditions that warrant further investigation.

One common cause of eye redness and swelling is conjunctivitis, also known as pink eye. This condition can be caused by infections (viral or bacterial), allergies, or irritants. In cases of allergic conjunctivitis, exposure to allergens such as pollen, dust, or pet dander can lead to redness, swelling, and itching. If the conjunctivitis is viral or bacterial, it may also be accompanied by discharge, which can vary in appearance depending on the cause.

Another possibility is a subconjunctival hemorrhage, which occurs when a small blood vessel breaks just beneath the conjunctiva, leading to a bright red patch on the white part of the eye. This condition is usually harmless and often resolves on its own, but it can be alarming to see. It can occur due to minor trauma, heavy lifting, or even spontaneously without any clear cause.

Additionally, conditions such as dry eye syndrome can lead to discomfort and redness. This occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms can include a gritty sensation, burning, and redness, and it can be exacerbated by prolonged screen time or environmental factors.

More serious conditions, such as uveitis or iritis, can also cause swelling and redness. These conditions involve inflammation of the uveal tract (the middle layer of the eye) and can lead to significant discomfort, light sensitivity, and vision changes. They often require prompt medical attention to prevent complications.

Given your symptoms, it is essential to consider the following steps:
1. Seek Medical Attention: Since you are experiencing swelling and redness, it is advisable to consult an eye care professional. They can perform a thorough examination, including checking your visual acuity, examining the front and back of your eye, and possibly conducting tests to determine the underlying cause of your symptoms.

2. Monitor Symptoms: Keep track of any additional symptoms that may develop, such as changes in vision, increased pain, discharge from the eye, or sensitivity to light. These details can help your healthcare provider make a more accurate diagnosis.

3. Avoid Irritants: If you suspect that allergies or irritants may be contributing to your symptoms, try to avoid exposure to known triggers. This may include using air purifiers, avoiding smoke, and using artificial tears to help alleviate dryness.

4. Use Over-the-Counter Remedies: Depending on the diagnosis, your healthcare provider may recommend over-the-counter antihistamine eye drops for allergic reactions or lubricating eye drops for dry eyes. However, it is crucial to consult with a professional before starting any treatment.

In conclusion, while there are many potential causes for the symptoms you are experiencing, a thorough examination by an eye care professional is necessary to determine the exact cause and appropriate treatment. Early intervention can help prevent complications and ensure the health of your eyes.

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